FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-407280
1. American Academy of Otolaryngology-Head and Neck Surgery ENT PAC
1650 Diagonal RoadAlexandria, VA 22314
NOTE: Address is different than previously reported
Email: ENTPAC@entnet.org2. Date: 03/12/2009
3. FEC Committee ID #: C00306449 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00306449American Academy of Otolaryngology-Head and Neck Surgery
1650 Diagonal Road
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Tom Harlow1650 Diagonal Road
Alexandria, VA 22314
Title: CFO
Treasurer:
Tom Harlow1650 Diagonal Road
Alexandria, Virginia 22314
Title: Chief Financial Offi
Phone # (703) 836-4444
Designated Agent(s):
Banks or Depositories
National Capital Bank of Washington316 Pennsylvania Ave, SE
Washington, DC 20003